| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
2,586 |
1,925 |
$72K |
| A7030 |
Full face mask used with positive airway pressure device, each |
603 |
455 |
$31K |
| E0601 |
Continuous positive airway pressure (cpap) device |
1,230 |
953 |
$26K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
1,996 |
1,454 |
$20K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
1,354 |
991 |
$16K |
| A7031 |
Face mask interface, replacement for full face mask, each |
591 |
434 |
$13K |
| A7035 |
Headgear used with positive airway pressure device |
898 |
705 |
$11K |
| A7037 |
Tubing used with positive airway pressure device |
465 |
396 |
$8K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
200 |
163 |
$7K |
| E0570 |
Nebulizer, with compressor |
655 |
515 |
$5K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
1,543 |
1,083 |
$5K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
309 |
222 |
$2K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
393 |
309 |
$2K |
| K0001 |
Standard wheelchair |
194 |
132 |
$810.63 |